Individual
KYLE KOLAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
2760 29TH ST STE 2B, BOULDER, CO 80301-1221
(303) 444-4661
Mailing address
2760 29TH ST STE 2B, BOULDER, CO 80301-1221
(303) 444-4661
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1395
CO
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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